HomeMy WebLinkAbout405 E 3rd St_BLD6091_2025_Abandoned
Permit Packet Coversheet
Community and Economic Development
City of Arlington • 18204 59th Avenue NE • Arlington, WA 98223 • Phone (360) 403-3551
Page 1 of 1
Permit Number: Permit Type:
Address/Parcel: Completed (Month/Year):
Land Use
Notice of Decision
Staff Report
Application
Narrative
Legal Description
Vicinity Map
Site Plan
Landscape Plan
Complete Streets Checklist
Traffic Impact Analysis
Snohomish County Traffic Mitigation Offer
WSDOT Traffic Offer Form
Tree Survey
Stormwater Drainage Report
Geotech Report
Critical Area Evaluation Form
SEPA Checklist
Public Notice Material
Noticing and Related Documents
Water / Sewer Availability Certificate
Unanticipated Discovery Plan Form
Aerial Photo of Site
Proposed Building Materials
Lighting Plans and Lighting Cut Sheets
Color Elevations
Design Matrix
Plat Map
Title Report
Lot Closures
Preliminary Civil Plans
Archaeological Survey
o Confidential Documents. Contact the
City to obtain.
Topography (Existing Conditions)
CC&R’s
Deeds / Easements / Conveyances
/Dedications
Developer’s Agreement
Recorded Copies
Bonding or Assignment of Funds
o Confidential Documents. Contact the
City to obtain.
Letters and Project Documents
Other:
Civil
Issued Permit
Application
Other Applications
Construction Calculation Worksheet
Approved Plans
Review Comment Form
Letters and Project Documents
Other Agency Permits
Reports:
o Drainage Report Pg:
o Stormwater Pg:
o Geotech Pg:
o All Other Reports
SEPA and Noticing Materials
Inspections
As-Builts
Other:
Building
Issued Permit
Application
Additional Applications
Approved Plans
Site Plan
Letters and Project Documents
Calculations
Project Specification Manuals
Reports
Certificate of Occupancy
Inspections
Other:
BLD6091 Residential Plumbing
405 E 3rd ST Abandoned February 2025
✔
✔
✔Plans
RESIDENTIAL PLUMBING APPLICATION
Community and Economic Development
City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551
REV03.2022 Page 1 of 2
This application is for new, repaired, altered or replaced plumbing installation for existing residences. Please fill out all pages of this application and include all information. The City of Arlington does not require a permit to stop leaks or clear stoppages, unless the piping is repaired, altered or replaced.
• All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASSE 1019
• All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV)
• Cross-Connection-Control may be required
Residential plumbing permits will be assessed a base fee, fee per unit, and inspection fee (plan
review fee per Table 4-6 may be required for certain permits)
Type of Fixture No. of Fixtures Cost per Fixture Subtotal Additional Plan Review fees x $ 75.00 = Alteration/repair piping x $ 15.00 = Backflow Assembly x $25.00 = Base Plumbing Fee 1 x $ 25.00 = $25.00 Bath/Shower Combo x $ 15.00 = Building Main Waste x $ 25.00 = Clothes Washer x $ 15.00 = Dishwasher x $ 15.00 =
Type of Permit: New Installation Addition Alteration Repair
Proposed Interior Water Piping Size: ½” ⅝” ¾” 1” Proposed Interior Piping Material: CPVC Brass Copper PEX-AL-PEX PEX Galvanized Steel Other Proposed Exterior Water Piping Size: ½” ⅝” ¾” 1” 1½” 2” Proposed Exterior Piping Material: PVC PE Copper PEX-AL-PEX PEX-AL-PE PEX Other Proposed Drain-Waste-Vent (DWV) Material:
Schedule 40 PVC DWV Brass OtherProposed Drain-Waste-Vent (DWV) Piping Size: ½” ⅝” ¾” 1” 1½” 2” 3” 4”
REV02.2024 Page 2 of 2
Residential plumbing permits will be assessed a base fee, fee per unit, and inspection fee (plan
review fee per Table 4-6 may be required for certain permits) Drinking Fountain x $ 15.00 = Floor Drains x $ 15.00 = Grease Interceptor x $ 75.00 = Grease Trap x $ 25.00 = Hose Bibb x $ 15.00 = Icemaker/Refrigerator x $ 15.00 = Irrigation – per meter x $ 25.00 = Kitchen Sink & Disposal x $ 15.00 = Laundry Tray x $ 15.00 = Lavatory x $ 15.00 = Medical Gas Piping ≤ 5 Inlets / Outlets x $ 60.00 = Medical Gas Piping for each additional Inlet / Outlet > 5 x $ 5.00 = Miscellaneous – regulated by plumbing code, not otherwise specified x $ 15.00 = Pretreatment Interceptor x $ 15.00 = Re-inspection Fee x $ 75.00 = Roof Drains x $ 15.00 = Shower (only) x $ 15.00 = Sink (bar, service, etc.) x $ 15.00 = Toilets x $ 15.00 = Urinal x $ 15.00 = Vacuum Breakers x $ 25.00 = Water Heater
MODEL NO.:
x $ 25.00 = Water Heater – Tankless
MODEL NO.:
x $ 25.00 = Permit Fee Inspection Fee $75.00 Processing/Technology Fee $25.00 Total I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-described property will be in accordance with the laws, rules and regulation of the State of Washington.
Signature Print Name Date
FOR STAFF USE ONLY
! "#$%() *+,-.,/01-4) 5+6*+,-.,/01-27788 9:,5-:=;> ,?/@0-A@<&4( 5+6*+,-.,/01- B&4 9
CD3 EA,F-G-1H06+/?:IA6&JK&L GM?+IGGN/F-/@0/,A@M/MGIA@@GI-/A@./-1
OMA?PM/MGQ3R&4 :RT 9C&J=&8 &4 V$(X&R YZGF/5G@-/+?[<&7 [88R7 D\8
9 ! "#$%=R8 ]!8^47& _,/F-/@`AF-G,55,GFF G0+?GFI,/M-/A@ b.@G,+6G b.@G,!1A@G 9*d%e#
`# -A, !,/6+,P*A@-+I- !1A@G 55,GFF *A@-,+I-A,PMG /IG@FG0 +g/51G?? 9Y9Y
CC !b$AN
C*b"*b*b*b*b0 +g/51G?? 9Y9Y
CC !b$AN
C*b"*b he
!"#$% &'( #
"" )!&*+!&&,--./ &"& (*0'1 "& (&/ )&56789 &"&GHIJKILMNOPQIRGHIJKILMNOPQIRUOVWXPQYZO[IKOLRI\JNJHQVILM]^^JI_\RIXL&!1 &"& 1(
1" "!1 d+%e F43S4T!(+ &'* F434T fg7.78cChcij898cA- + + *+l0&! (# m &&/ + !+l0&" & &#(&0!*&% (&# m &&/ ""0&& n& !00*%% )&# m &&/ /&0(qrsrrtuvYqtqutvwtxGyzqrsrrtusYqtqutvwtxGyz{t|rx]
!"#$%$&'(!) !"#$%$&'(!)+
2+
'789:;<9=:9%>?=9@AB@C9DE@F;A@:;<<@:9G<H9;I@9@AD#CCA;J@B?G9KL;<BG9G;<8(&$ !)22D789:;<9=:9%>?=9@AB@C9DE@F;A@:;<<@:9G<H9;I@9@AD "A=:@A>GA@?G9KES7@T=:U@99=C@B@J@AV
G<:K@8G8A@W7GA@BD46 L#">)Y"# #' #' "#ASG<H9;<Z>#+
$\#'$](S;:U2